That’s a great idea, I’ve been told about trying these online programs that test gluten and other foods with how they react and how tolerant I am so I can base a good diet around that. My diet isn’t all too great usually during the day I do fast food lunch, a breakfast sandwich in the morning and a good dinner each night. I don’t drink alcohol it’s very rare for me to do, maybe a few drinks once a month, if that. Journaling is a great idea as I’ve found marinara and pizza ingredients trigger acid reflux symptoms very heavily on me within 30min of eating them so i stay away. Constipation isn’t much of a thing as I rarely even take acid reducers and just kinda deal with it. When I do I notice stiffer bowel movements. My job is physically demanding so I stay in good shape and get my daily exercise in that way but I do think a 14day otc PPI would help reset my gut and be back to feeling great for several more months the tremor the other night made me do some internalization and get some clarity which u have all helped me with. I’d never heard of the Vagus nerve before and tonight looked up a vagus relax breathing technique trying to take in only a few really good breathes per minute and turned to yawn and felt immediate de-escalation of gas/pressure and still feel in the same relaxed symptom free state which I wasn’t 30 minutes ago when first laying down. So just researching and utilizing the tools I’m finding are really helping already. Thank you @amandajro ur the best I’ll see if these techniques and better diet will eliminate the need for a PPI regimen. Hopefully. I don’t eat my Veggies like I should lol, going to have to start working a salad into the day.